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<article xlink="http://www.w3.org/1999/xlink" dtd-version="1.0" article-type="healthcare" lang="en"><front><journal-meta><journal-id journal-id-type="publisher">IJCRR</journal-id><journal-id journal-id-type="nlm-ta">I Journ Cur Res Re</journal-id><journal-title-group><journal-title>International Journal of Current Research and Review</journal-title><abbrev-journal-title abbrev-type="pubmed">I Journ Cur Res Re</abbrev-journal-title></journal-title-group><issn pub-type="ppub">2231-2196</issn><issn pub-type="opub">0975-5241</issn><publisher><publisher-name>Radiance Research Academy</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">3293</article-id><article-id pub-id-type="doi"/><article-id pub-id-type="doi-url">http://dx.doi.org/10.31782/IJCRR.2021.13128</article-id><article-categories><subj-group subj-group-type="heading"><subject>Healthcare</subject></subj-group></article-categories><title-group><article-title>Evaluation of Laparotomy Fascial Wound Closure with Continuous Suture and Intermittent Aberdeen Knot&#13;
</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Maharaul</surname><given-names>Honeypalsinh H</given-names></name></contrib><contrib contrib-type="author"><name><surname>Patel</surname><given-names>Harsh</given-names></name></contrib><contrib contrib-type="author"><name><surname>Gajera</surname><given-names>Darshan</given-names></name></contrib><contrib contrib-type="author"><name><surname>Shah</surname><given-names>Ketul</given-names></name></contrib></contrib-group><pub-date pub-type="ppub"><day>5</day><month>01</month><year>2021</year></pub-date><volume>)</volume><issue/><fpage>169</fpage><lpage>173</lpage><permissions><copyright-statement>This article is copyright of Popeye Publishing, 2009</copyright-statement><copyright-year>2009</copyright-year><license license-type="open-access" href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.</license-p></license></permissions><abstract><p>Background: The closure is a crucial factor in, laparotomy wound. Fascial layers provide a major tensile strength in wound closure. Poor wound, healing, and development of wound infection and, the incisional wound are the common complications of open abdominal surgery.&#13;
Objective: To evaluate abdominal wound closure in terms of the outcome of wound, infection, and wound pain.&#13;
Methods: Detailed, clinical history, clinical examination including per abdominal and per-rectal examination, routine blood investigations __ampersandsignamp; chest x-ray screening was done. In all the patients undergoing laparotomy wound closure done with continuous suture and Aberdeen knot. All the patients were observed for complications after operation __ampersandsignamp; followed up at 1 week, 15 days,3,6 months postoperatively.&#13;
Results: Most of the patients presented with intestinal obstruction (11) and peptic perforation (9) followed by ileal perforation (8) and appendicular perforation (6). There were 3 patients with liver abscess and Koch__ampersandsignrsquo;s abdomen, 2 patients with incisional hernia. 1 patient each of pseudocyst, CA descending colon, Ca stomach SMA thrombosis, rectal prolapse, abdominal Trauma, obstructed inguinal hernia, GOO. The most common complication was wound infection (5) followed by chronic wound pain (3), wound dehiscence (2). 1 patient developed an incisional hernia. None of the patients had stich granuloma or suture sinus formation.&#13;
Conclusion: In laparotomy, wound closure with continuous suture and Aberdeen knot reduces the incidence of infection, wound dehiscence, incisional hernia, suture sinus formation, and stitch granuloma __ampersandsignamp; chronic wound pain. Thus, this method holds the promise for a safe technique of closure with minimal complication.&#13;
</p></abstract><kwd-group><kwd>Aberdeen knot</kwd><kwd> Continuous suture</kwd><kwd> Midline laparotomy</kwd><kwd> Abdominal Wall</kwd><kwd> Incisional Hernia</kwd><kwd> Seroma</kwd></kwd-group></article-meta></front></article>
